Abstract

RUIZ ESTIGARRIBIA, Liz María. Effectiveness of pre-operative studies in healthy patients subjected to low and moderate risk surgeries. Rev. virtual Soc. Parag. Med. Int. [online]. 2015, vol.2, n.1, pp.53-73. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2015.02(01)53-073.

Introduction: The pre-operatory studies are indicated according to the clinical history and clinical examination. They are performed in order to optimize the clinical conditions before a surgery and decrease peri-operative complications. Objectives: To determine the results of the studies performed in the pre-operative evaluation of healthy patients subjected to low and moderate risk surgeries and the relationship of these results with the peri-operatory complications. Materials and methods: One hundred thirteen healthy men and women younger than 50 years old admitted into the rooms of Surgery and Traumatology of the National Hospital (Itauguá) were subjected to pre-operative evaluation from January to November 2014. The evaluated studies were requested by the treating medical doctors as part of the routine procedure. Results: The most frequent surgical procedures were the chronic calculous cholecystectomy and the hernioplasty. The laboratory exam that revealed most alterations was the hepatogram (15.79%), followed by the hematocrit and the glycemia. In relation to the chest radiograph and the electrocardiogram, there were not significant relevant abnormal findings. A minimum percentage of peri-operative complications were found (5.31%). Conclusion: At least one abnormal result was found in 18.58% of all the studies performed in the pre-operative stage. None of the abnormal results modified the peri-operative handling nor was related to the complications that occurred.

Keywords : pre-operative evaluation; pre-operative studies.

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